Individual provider · Type 1 NPI

Jacqueline Landis

Other Technician · Moorhead, MN

NPI number 1750937017 Active

Practice location

891 Belsly Blvd
Moorhead, MN 56560-5055

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1750937017

Jacqueline Landis's National Provider Identifier is 1750937017, issued on Aug 13, 2019. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Moorhead, MN. The record was last updated on Aug 13, 2019.